KATHY JEAN WAGNER Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003270

License Status

EXPIRED

Business

First Name

KATHY JEAN

Last Name

WAGNER

Business Name

KATHY JEAN WAGNER

Original Issue Date

07/16/2007

Effective Date

07/16/2007

Expiration Date

07/16/2008

City

ARLINGTON HTS

State

Zip

60005

County

COOK

Ever Disciplined

LastModifiedDate

01/04/2018